5GW-14591-19995

4 vaccinations 9 coded responses 18 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 913 / CA
Registered: 2021-02-10

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Registered dependents

QCS-10276-30380 Other · Male · 2021-10-10

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2461889 (opens in a new window)	high	9 / 11	1	1 of 8 VAERS symptoms	same dose (4)	CA matches	2022-03-26 / 2022-04-15 / 2022-09-27 received 89 days after the last call	case 543560

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-20
Dose 1 — Pfizer-BioNTech
2021-02-10
Registered in v-safe
2021-02-10
Dose 2 — Pfizer-BioNTech
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Free text: only 1st day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-17
Dose 3 — Pfizer-BioNTech
2021-09-29
Survey response — day 7, dose 3
MedDRA: Joint swelling — Feeling: Fair · Joint pains

Free text: Joint swelling

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-10
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-15
Survey response — day 28, dose 3
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Back pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-18
Survey response — 6 months, dose 3
MedDRA: Arrhythmia, Inflammation, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Symptoms: Cardiac arrhythmias. Inflammation. · Healthcare visit (other): Dr's office

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-03-21
Call 1 — Left Voicemail
2022-03-26
Dose 4 — Pfizer-BioNTech
2022-04-14
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-18
Survey response — day 21, dose 4
MedDRA: Arthralgia, Back pain, Inflammation, Office visit, Tendonitis, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Three weeks after every shot I experienced significant back/hip pain, tendonitis, bad TMJ. Usually lasts 6-8 weeks. Been to doctors before. Inflammatory response to shot. Can't take NSAIDS. On xarelto. · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Report sent to call center — day 21, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-19
Call 1 — Left Voicemail
2022-04-27
Health check-in — day 28, dose 4
Feeling: Poor

Adult check-in
2022-04-30
Survey response — day 35, dose 4
MedDRA: Back pain, Gait disturbance — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Can hardly walk my back is so painful

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Survey response — 3 months, dose 4
MedDRA: Back disorder, Inflammation, Office visit, Orthosis user, Vaccine positive rechallenge — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Since last shot, back inflammation has been very bad. In new back brace. Had this reaction in back and jaw 20-21 days after each shot. Took 6 weeks to get better. Not better this time! · Healthcare visit (other): Dr.'s office

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-27
Call 1 — Could Not Reach Participant
2022-06-30
Call successful
Does not wish to fill out VAERS report
2022-06-30
Call successful
Completed over the phone
2022-06-30
Call successful
Completed over the phone
2022-09-24
Survey response — 6 months, dose 4
MedDRA: Office visit, Pain in jaw, Sudden hearing loss — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sudden hearing loss and continuing jaw pain since last shot. · Healthcare visit (other): Doctor's appointment and MRI

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-26
Call 1 — Left Voicemail
2022-09-27
Call successful
Completed over the phone
2023-03-26
Survey response — 12 months, dose 4
MedDRA: Emergency care, Implantable cardiac monitor insertion, Medical procedure, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-03-26
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-03-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Pfizer-BioNTech
2	2021-02-10	Pfizer-BioNTech
3	2021-09-17	Pfizer-BioNTech	No
4	2022-03-26	Pfizer-BioNTech	No

Call center

5 call center cases

4 successful · 1 unsuccessful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): only 1st day

Release 9 — day 7, dose 3

2021-09-29

Systemic reaction (other): Joint swelling

Release 10 — day 28, dose 3

2021-10-15

Symptoms: Back pain

Release 11 — 6 months, dose 3

2022-03-18

Symptoms: Cardiac arrhythmias. Inflammation.

Healthcare visit (other): Dr's office

Release 11 — day 21, dose 4

2022-04-18

Symptoms: Three weeks after every shot I experienced significant back/hip pain, tendonitis, bad TMJ. Usually lasts 6-8 weeks. Been to doctors before. Inflammatory response to shot. Can't take NSAIDS. On xarelto.

Healthcare visit (other): Office visit

Release 11 — day 35, dose 4

2022-04-30

Symptoms: Can hardly walk my back is so painful

Release 12 — 3 months, dose 4

2022-06-25

Symptoms: Since last shot, back inflammation has been very bad. In new back brace. Had this reaction in back and jaw 20-21 days after each shot. Took 6 weeks to get better. Not better this time!

Healthcare visit (other): Dr.'s office

Release 12 — 6 months, dose 4

2022-09-24

Symptoms: Sudden hearing loss and continuing jaw pain since last shot.

Healthcare visit (other): Doctor's appointment and MRI

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Emergency care	·	·	✓
HCVO	Medical procedure	·	·	✓
HCVO	Office visit	·	·	✓
SD	Arrhythmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back disorder	·	·	✓
SD	Back pain	·	·	✓
SD	Gait disturbance	·	·	✓
SD	Implantable cardiac monitor insertion	·	·	✓
SD	Inflammation	·	·	✓
SD	Office visit	·	·	✓
SD	Orthosis user	·	·	✓
SD	Pain in jaw	·	·	✓
SD	Sudden hearing loss	·	·	✓
SD	Tendonitis	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Joint swelling	·	·	✓
SRO	Unevaluable event	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release